Petrie Mill - Application

Please complete and submit the application form and once the application has been processed you will be contacted and a requirement of the first 4 weeks rent will be necessary to confirm your room for the requested dates.

Payment can be made by credit card or direct deposit, a confirmation email will be sent with all the necessary information and once payment is made then your booking approval will be sent soon after.

Dates requiring Accommodation

Start Date *

End Date *

Personal Information

First Name *

Middle Name

Last Name *

Gender *

Date of Birth *

Country *

Your Nationality *

Source of Income

Driver's License Number

Passport Number

Contact Details

Primary Phone Number *

Secondary Phone Number

Email *

Home Address *

City *

State *

Postcode *

Country *

Parents/Next of Kin

First Name *

Last Name *

Relationship to you *

Contact Number *

Other Details

Campus *

Course Details *

Date Commencing *

Expected Finish Date *

Comments/Questions: (include in this section if you would like to share with other students you know. We will accommodate if possible.)

* Required fields